Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in Turkey

The incidence of drug-resistant pathogens differs greatly between countries according to differences in the usage of antibiotics. The purpose of this study was to investigate the phenotypic resistance of 321 methicillin resistance Staphylococcus aureus (MRSA) and 195 methicillin susceptible S. aureu...

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Main Authors: Riza Adaleti, Yasar Nakipoglu, Nurgul Ceran, Cihan Tasdemir, Fatma Kaya, Semiha Tasdemir
Format: Article
Language:English
Published: Elsevier 2010-01-01
Series:Brazilian Journal of Infectious Diseases
Online Access:http://www.sciencedirect.com/science/article/pii/S1413867010700039
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author Riza Adaleti
Yasar Nakipoglu
Nurgul Ceran
Cihan Tasdemir
Fatma Kaya
Semiha Tasdemir
author_facet Riza Adaleti
Yasar Nakipoglu
Nurgul Ceran
Cihan Tasdemir
Fatma Kaya
Semiha Tasdemir
author_sort Riza Adaleti
collection DOAJ
description The incidence of drug-resistant pathogens differs greatly between countries according to differences in the usage of antibiotics. The purpose of this study was to investigate the phenotypic resistance of 321 methicillin resistance Staphylococcus aureus (MRSA) and 195 methicillin susceptible S. aureus (MSSA) in a total of 516 S. aureus strains to macrolide, lincosamide, streptogramin B (MLSB), ketolid, and linezolid. Disk diffusion method was applied to determine MLSB phenotype and susceptibility to different antibiotic agents. It was found that 54.6% of the isolates were resistant to erythromycin (ERSA), 48% to clindamycin, 55% to azithromycin, 58.7% to spiramycin, 34.7% to telithromycin, and 0.4% to quinupristin-dalfopristin, respectively. No strain resistant to linezolid was found. The prevalence of constitutive (cMLSB), inducible (IMLSB), and macrolides and type B streptogramins (M/MSB) among ERSA isolates (237 MRSA, 45 MSSA) was 69.6%, 18.2%, and 12.2% in MRSA and 28.9%, 40%, and 31.1% in MSSA, respectively. In conclusions, the prevalence of cMLSB was predominant in MRSA; while in MSSA strains, iMLSB and M/MSB phenotype were more higher than cMLSB phenotype resistance. The resistance to quinupristindalfopristin was very low, and linezolid was considered as the most effective antibiotic against all S.aureus strains. Keywords: Staphylococcus aureus, macrolide, lincosamide, streptogramin B, ketolid, linezolid, MLSB
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spelling doaj.art-b7355dbf20f043ad8122c687fa02affc2022-12-22T01:07:56ZengElsevierBrazilian Journal of Infectious Diseases1413-86702010-01-011411114Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in TurkeyRiza Adaleti0Yasar Nakipoglu1Nurgul Ceran2Cihan Tasdemir3Fatma Kaya4Semiha Tasdemir5Clinical Microbiology Laboratory, Haydarpasa Numune Education and Research Hospital, Istanbul, TurkeyIstanbul University, Istanbul Faculty of Medicine, Department of Microbiology and Clinical Microbiology, 34390 Capa, Istanbul, Turkey; Correspondence to: Department of Microbiology and Clinical Microbiology Istanbul Faculty of Medicine Istanbul University 34390 Capa Istanbul, Turkey. Tel: +90 212 414 20 00-32372, Fax: +90 212 414 20 37.Clinical Microbiology and infectious disease, Haydarpasa Numune Education and Research Hospital, Istanbul, TurkeyClinical Microbiology Laboratory, Haydarpasa Numune Education and Research Hospital, Istanbul, TurkeyClinical Microbiology Laboratory, Haydarpasa Numune Education and Research Hospital, Istanbul, TurkeyClinical Microbiology Laboratory, Haydarpasa Numune Education and Research Hospital, Istanbul, TurkeyThe incidence of drug-resistant pathogens differs greatly between countries according to differences in the usage of antibiotics. The purpose of this study was to investigate the phenotypic resistance of 321 methicillin resistance Staphylococcus aureus (MRSA) and 195 methicillin susceptible S. aureus (MSSA) in a total of 516 S. aureus strains to macrolide, lincosamide, streptogramin B (MLSB), ketolid, and linezolid. Disk diffusion method was applied to determine MLSB phenotype and susceptibility to different antibiotic agents. It was found that 54.6% of the isolates were resistant to erythromycin (ERSA), 48% to clindamycin, 55% to azithromycin, 58.7% to spiramycin, 34.7% to telithromycin, and 0.4% to quinupristin-dalfopristin, respectively. No strain resistant to linezolid was found. The prevalence of constitutive (cMLSB), inducible (IMLSB), and macrolides and type B streptogramins (M/MSB) among ERSA isolates (237 MRSA, 45 MSSA) was 69.6%, 18.2%, and 12.2% in MRSA and 28.9%, 40%, and 31.1% in MSSA, respectively. In conclusions, the prevalence of cMLSB was predominant in MRSA; while in MSSA strains, iMLSB and M/MSB phenotype were more higher than cMLSB phenotype resistance. The resistance to quinupristindalfopristin was very low, and linezolid was considered as the most effective antibiotic against all S.aureus strains. Keywords: Staphylococcus aureus, macrolide, lincosamide, streptogramin B, ketolid, linezolid, MLSBhttp://www.sciencedirect.com/science/article/pii/S1413867010700039
spellingShingle Riza Adaleti
Yasar Nakipoglu
Nurgul Ceran
Cihan Tasdemir
Fatma Kaya
Semiha Tasdemir
Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in Turkey
Brazilian Journal of Infectious Diseases
title Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in Turkey
title_full Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in Turkey
title_fullStr Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in Turkey
title_full_unstemmed Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in Turkey
title_short Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in Turkey
title_sort prevalence of phenotypic resistance of staphylococcus aureus isolates to macrolide lincosamide streptogramin b ketolid and linezolid antibiotics in turkey
url http://www.sciencedirect.com/science/article/pii/S1413867010700039
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